Mary Loran Makenzie Henk, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2301010430 Issued in MI

Practice address

42560 Van Dyke Ave
Sterling Heights, MI 48314

Phone

(586) 943-0584

Fax

(586) 745-1531

NPI assigned

Nov 5, 2015

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other names 1

• Dr. Mary Loran Makenzie George Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1446681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648166400000",
    "number": "1518330034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42560 VAN DYKE AVE",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "48314",
            "telephone_number": "586-943-0584",
            "fax_number": "586-745-1531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42560 VAN DYKE AVE",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "48314",
            "telephone_number": "586-943-0584",
            "fax_number": "586-745-1531"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENK",
        "first_name": "MARY LORAN",
        "middle_name": "MAKENZIE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-11-05",
        "last_updated": "2022-03-25",
        "certification_date": "2022-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "2015013420",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301010430",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARY LORAN",
            "last_name": "GEORGE",
            "middle_name": "MAKENZIE",
            "prefix": "DR.",
            "credential": "DC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Carolyn Henderson
• Quintez Henderson
• Renee Denise Henderson
• Tatiana Denise Henderson, BT
• Joshua Matthew Henk, D.C.
• Stephanie Hennard, CTRS
• Henry Ford Health System
• Henry Ford Health System
• Henry Ford Medical Center Lakeside
• Arlena Henry, MA, CCC-SLP

• Chiropractor in Sterling Heights, MI
• Providers in Sterling Heights, MI by specialty
• Chiropractor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.